EP2967875B1 - Vorrichtungen zum verlängern von knochen - Google Patents

Vorrichtungen zum verlängern von knochen Download PDF

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Publication number
EP2967875B1
EP2967875B1 EP14769378.2A EP14769378A EP2967875B1 EP 2967875 B1 EP2967875 B1 EP 2967875B1 EP 14769378 A EP14769378 A EP 14769378A EP 2967875 B1 EP2967875 B1 EP 2967875B1
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EP
European Patent Office
Prior art keywords
implant
bone
enlarged
assembly
extension
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EP14769378.2A
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English (en)
French (fr)
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EP2967875A2 (de
EP2967875A4 (de
Inventor
Thomas D. MCGEE
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Osteoceramics Inc
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Osteoceramics Inc
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Publication of EP2967875A2 publication Critical patent/EP2967875A2/de
Publication of EP2967875A4 publication Critical patent/EP2967875A4/de
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2/2814Bone stump caps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/2817Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/2825Femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/286Bone stimulation by mechanical vibrations for enhancing ossification
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772Apertures or holes, e.g. of circular cross section
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/3082Grooves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/78Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2002/7887Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump for connecting limb exoprostheses to the stump bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0065Additional features; Implant or prostheses properties not otherwise provided for telescopic

Claims (14)

  1. Implantatbaugruppe zum Verbessern einer Knochenverlängerung eines amputierten lebenden Knochens (100), wobei die genannte Baugruppe Folgendes umfasst:
    ein Verlängerungsimplantat (108, 408, 508, 608, 708, 808) mit einem ersten Ende, einem zweiten Ende, einer Außenfläche, einer internen Röhre (425, 525, 825) und einem Durchmesser, wobei das erste Ende zum Einführen in lebenden Knochen ausgelegt ist; und
    ein vergrößertes Implantat (110, 210, 310, 410, 510, 610 710, 810) mit einem ersten Ende, einem zweiten Ende, einer Außenfläche und einer internen Röhre (220, 320, 520, 820), wobei die interne Röhre (425, 525, 825) des Verlängerungsimplantats (108, 408, 508, 608, 708, 808) in Fluidverbindung mit der internen Röhre (220, 320, 520, 820) des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) ist, wobei das erste Ende des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) mit dem zweiten Ende des Verlängerungsimplantants (108, 408, 508, 608, 708, 808) kombiniert wird und wobei das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) einen Durchmesser hat, der größer ist als der Durchmesser des Verlängerungsimplantats (108, 408, 508, 608, 708, 808), dadurch gekennzeichnet, dass die Außenfläche des vergrößerten Implantats ferner externe Nuten (218, 318, 418, 518) in Fluidverbindung mit der internen Röhre (220, 320, 520, 820) des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) hat, wobei die genannten externen Nuten (218, 318, 418, 518) zum Bieten von Zugang zu Knochenregenerationselementen dienen, die Knochenbildung um das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) führen.
  2. Implantatbaugruppe nach Anspruch 1, wobei das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) mit einer Gliedmaßenprothese kombiniert wird.
  3. Implantatbaugruppe nach Anspruch 1, wobei das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) ferner Öffnungen (212, 214, 312, 412, 414, 512, 514, 812) in Fluidverbindung mit der internen Röhre (220, 320, 520, 820) des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) umfasst, wobei die genannten Öffnungen (212, 214, 312, 314, 412, 414, 512, 514, 812) zum Bieten von Zugang zu Knochenregenerationselementen dienen, die Knochenbildung um das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) leiten.
  4. Implantatbaugruppe nach Anspruch 1, wobei die interne Röhre (425, 525, 825) des Verlängerungsimplantats (108, 408, 508, 608, 708, 808) ferner eine Seitenwand umfasst und wobei das Verlängerungsimplantat (108, 408, 508, 608, 708, 808) eine Öffnung (432, 532) in der Seitenwand hat, um den Fluss von Fluid von der internen Röhre (425, 525, 825) des Verlängerungsimplantats (108, 408, 508, 608, 708, 808) zur Außenfläche des Verlängerungsimplantats (108, 408, 508, 608, 708, 808) zuzulassen, um beim Leiten von Knochenbildung um das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) zu helfen.
  5. Implantatbaugruppe nach Anspruch 1, wobei das Verlängerungsimplantat (108, 408, 508, 608, 708, 808) und das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) Tricalciumphosphat umfassen.
  6. Implantatbaugruppe nach Anspruch 1, wobei das Verlängerungsimplantat (108, 408, 508, 608, 708, 808) und das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) aus einem biologisch aktiven lasttragenden Material gefertigt sind.
  7. Implantatbaugruppe nach Anspruch 1, wobei das Verlängerungsimplantat (108, 408, 508, 608, 708, 808) und das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) kombiniert werden, um dadurch eine einzige Baugruppe herzustellen.
  8. Implantatbaugruppe nach Anspruch 1, die ferner eine Käfigbaugruppe zum Tragen und Bereitstellen von dynamischen Kräften für das Verlängerungsimplantat (108, 408, 508, 608, 708, 808) und das vergrößerte Implantat (110, 210, 310, 410, 510, 610 710, 810) umfasst.
  9. Implantatbaugruppe nach Anspruch 8, wobei die Käfigbaugruppe ferner ein axiales Spannungselement (840) mit einem zum Kombinieren mit dem lebenden Knochen (100) konfigurierten ersten Ende und einem mit dem zweiten Ende des vergrößerten Implantats (110, 210, 310, 410, 510, 610, 710, 810) kombinierten zweiten Ende umfasst, wobei das genannte axiale Spannungselement (840) zum Passieren durch die internen Röhren (425, 525, 825, 220, 320, 520, 820) des Verlängerungsimplantats (108, 408, 508, 608, 708, 808) und vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) ausgelegt ist.
  10. Implantatbaugruppe nach Anspruch 8, wobei die Käfigbaugruppe ferner ein axiales Band (843) mit einem zum Kombinieren mit dem lebenden Knochen (100) konfigurierten ersten Ende und einem mit dem zweiten Ende des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) kombinierten zweiten Ende umfasst, wobei das genannte axiale Band (854) so ausgelegt ist, dass es um die Außenfläche des Verlängerungsimplantats (108, 408, 508, 608, 708, 808) und die Außenfläche des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) herum verläuft.
  11. Baugruppe nach Anspruch 10, die ferner einen Anker (820, 850) zum Kombinieren des axialen Spannungselements (840) mit dem Knochen (100) umfasst.
  12. Baugruppe nach Anspruch 11, wobei der Anker (820, 850) relativ zu dem vergrößerten Implantat (110, 210, 310, 410, 510, 610 710, 810) justiert werden kann, um dadurch eine Verstellung des axialen Spannungselements (840) zuzulassen.
  13. Baugruppe nach Anspruch 8, die ferner eine Endkappe (836) zum Kombinieren des axialen Spannungselements (840) mit dem zweiten Ende des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810) umfasst.
  14. Baugruppe nach Anspruch 9, die ferner ein Stabilisierungsband (830) umfasst, kombiniert mit dem ersten Ende des vergrößerten Implantats (110, 210, 310, 410, 510, 610 710, 810), wobei das genannte Stabilisierungsband (830) auswärts in Richtung des axialen Bandes (854) und in Verbindung damit verläuft.
EP14769378.2A 2013-03-15 2014-03-12 Vorrichtungen zum verlängern von knochen Active EP2967875B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201361787985P 2013-03-15 2013-03-15
PCT/US2014/023895 WO2014150658A2 (en) 2013-03-15 2014-03-12 Devices, systems, and methods for elongating bone

Publications (3)

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EP2967875A2 EP2967875A2 (de) 2016-01-20
EP2967875A4 EP2967875A4 (de) 2016-11-16
EP2967875B1 true EP2967875B1 (de) 2017-12-20

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US (3) US9039781B2 (de)
EP (1) EP2967875B1 (de)
WO (1) WO2014150658A2 (de)

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Also Published As

Publication number Publication date
US9561108B2 (en) 2017-02-07
US20150216666A1 (en) 2015-08-06
EP2967875A2 (de) 2016-01-20
US9039781B2 (en) 2015-05-26
US20170042681A1 (en) 2017-02-16
WO2014150658A3 (en) 2014-12-24
US20140288662A1 (en) 2014-09-25
WO2014150658A2 (en) 2014-09-25
EP2967875A4 (de) 2016-11-16
US10219907B2 (en) 2019-03-05

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